EP3258874B1 - Dispositif d'entrée pour système chirurgical robotique - Google Patents

Dispositif d'entrée pour système chirurgical robotique Download PDF

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Publication number
EP3258874B1
EP3258874B1 EP16752764.7A EP16752764A EP3258874B1 EP 3258874 B1 EP3258874 B1 EP 3258874B1 EP 16752764 A EP16752764 A EP 16752764A EP 3258874 B1 EP3258874 B1 EP 3258874B1
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EP
European Patent Office
Prior art keywords
input
scaling factor
distance
input handle
handle
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EP16752764.7A
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German (de)
English (en)
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EP3258874A1 (fr
EP3258874A4 (fr
Inventor
William Peine
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Covidien LP
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Covidien LP
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70—Manipulators specially adapted for use in surgery
    • A61B34/77—Manipulators with motion or force scaling
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A61B34/35—Surgical robots for telesurgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70—Manipulators specially adapted for use in surgery
    • A61B34/74—Manipulators with manual electric input means
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B25—HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
    • B25J—MANIPULATORS; CHAMBERS PROVIDED WITH MANIPULATION DEVICES
    • B25J13/00—Controls for manipulators
    • B25J13/06—Control stands, e.g. consoles, switchboards
    • B25J13/065—Control stands, e.g. consoles, switchboards comprising joy-sticks
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361—Image-producing devices, e.g. surgical cameras
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation

Definitions

  • Robotic surgical systems have been used in minimally invasive medical procedures.
  • the robotic surgical system is controlled by a surgeon interfacing with a user interface.
  • the user interface allows the surgeon to manipulate an end effector that acts on a patient.
  • the user interface includes an input controller or handle that is moveable by the surgeon to control the robotic surgical system.
  • Robotic surgical systems typically used a scaling factor to scale down the motions of the surgeons hands to determine the desired position of the end effector within the patient so that the surgeon could more precisely move the end effector inside the patient.
  • the larger the scaling factor the farther the surgeon had to move the input device handle to move the end effector the same distance. Since the input device handle has a fixed range of motion, this meant that for larger scaling factors the surgeon may have reached an end of the range of motion of an input handle more often. The surgeon then had to "clutch" the handle to decouple the motion of the input handles from the end effector so that the surgeon could move the handles to a new position within the workspace of the user interface away from the end of the range motion while the instruments remain stationary.
  • a robotic surgical system includes a linkage, an input handle, and a processing unit.
  • the linkage moveably supports a surgical tool relative to a base.
  • the input handle is moveable in a plurality of directions.
  • the processing unit is in communication with the input handle and is operatively associated with the linkage to move the surgical tool based on a scaled movement of the input handle.
  • the scaling varies depending on whether the input handle is moved towards a center of a workspace or away from the center of the workspace.
  • the workspace represents a movement range of the input handle.
  • the processing unit is configured to scale a first movement of the input handle towards the center of the workspace by a first scaling factor and to scale a second movement of the input handle away from the center of the workspace by a second scaling factor different from the first scaling factor.
  • the processing unit is configured to scale the input distance by dividing a distance of the first movement by the first scaling factor and a distance of the second movement by the second scaling factor.
  • the first and second scaling factors may be in a range of about 1.0 to about 10.0 and the second scaling factor may be larger than the first scaling factor.
  • the first scaling factor may be between 0.70 and 1.40 times as large as the second scaling factor.
  • the processing unit is configured to vary the scaling based on a distance of the input handle from the center of the workspace.
  • the processing unit may be configured to linearly or exponentially scale the input distance based on a distance of the input handle from at least one of the center of the workspace and a limit of movement of the input handle.
  • the processing unit may be configured to increase a movement of the surgical tool as the location of the input handle is further from the center of the workspace.
  • the processing unit may be configured to decrease a movement of the surgical tool as the location of the input handle is further from the center of the workspace.
  • the workspace includes a first section that is located a predetermined distance from the center of the workspace.
  • the first and second scaling factors may be constant when the input handle is in the first section and at least one of the first or second scaling factors varies when the input handle is outside of the first section.
  • a robotic surgical system in another aspect of the present disclosure, includes a linkage, an input handle, and a processing unit.
  • the linkage moveably supports a surgical tool relative to a base.
  • the input handle is moveable a first input distance in a first input direction and a second input distance in a second input direction that is opposite the first input direction.
  • the second input distance is different from the first input distance.
  • the processing unit is in communication with the input handle and is operatively associated with the linkage to move the surgical tool.
  • the processing unit is configured to move the surgical tool an output distance in a first output direction in response to the first input distance and to move the surgical tool the same output distance in a second out direction opposite the first input direction in response to the second input distance.
  • a method of operating a surgical robot includes detecting a plurality of movements of an input handle that is moveable in a plurality of directions, scaling a detected movement of the input handle towards a center of a workspace by a first scaling factor, scaling a detected movement of the input handle away from the center of the workspace by a second scaling factor different from the first scaling factor, and actuating a linkage based on the scaled detected movements to move a surgical tool that is moveably supported by the linkage.
  • the method includes dividing a distance of the detected movement of the input handle toward the center of the workspace by the first scaling factor and dividing a distance of the detected movement of the input handle away from the center of the workspace by the second scaling factor.
  • the method includes varying the scaling of the detected movements based on a distance of the input handle from the center of the workspace.
  • the method may include linearly or exponentially varying the scaling of the detected movements based on a distance of the input handle from at least one of the center of the workspace and a limit of movement of the input handle.
  • the method may include adjusting the actuation of the linkage to increase or decrease a movement of the surgical tool as the location of the input handle is further from the center of the workspace.
  • the method may include setting the first and second scaling factors as constant when the input handle is in a section of the workspace located within a predetermined distance of the center of the workspace and varying at least one of the first and second scaling factors when the input handle is outside the section.
  • a robotic surgical system in another aspect of the present disclosure, includes an arm having an end, a tool supported on the end of the arm, an input handle, and a processing unit.
  • the input handle is moveable an input distance and includes a repositioning control that has activated and deactivated states.
  • the processing unit is in communication with the input handle and is operatively associated with the arm to move the tool.
  • the processing unit is configured to scale the input distance of the input handle by a first scaling factor when the repositioning control is in the activated state and to sale the input distance by a second scaling factor when the repositioning control is in the deactivated state.
  • the first scaling factor is larger than the second scaling factor.
  • the first scaling factor may be in a range of about 100 to about 1000 and the second scaling factor may be in a range of about 1 to about 10.
  • the processing unit may be configured to scale the input distance by dividing the input distance by the first scaling factor when the repositioning control is in the activated state and by dividing the input distance by the second scaling factor when the reposition control is in the deactivated state.
  • a method, which is not part of the invention, of repositioning an input handle of a robotic surgical system includes detecting movement of an input handle of the robotic surgical system an input distance with a repositioning control of the input handle in a deactivated state, detecting whether a repositioning control of the input handle is in an activated or deactivated state, scaling the input distance to a first output distance or a different second output distance depending on the state of the repositioning control, and actuating movement of a tool supported on an end of a moveable arm of a robotic surgical system the respective scaled first or second output distance.
  • the method which is not part of the invention, includes dividing the input distance by a first scaling factor in a range of 1 to 10 as part of the scaling of the input distance to the first output distance and dividing the input distance by a second scaling factor in a range of 100 to 1000 as part of scaling the input distance to the second output distance.
  • the method may include changing an orientation of the tool as part of the actuating movement when the detected movement of the input handle includes a detected orientation change of the input handle.
  • a robotic surgical system including an arm having an end, a tool supported on the end of the arm, an input handle moveable an input distance, an imaging device, and a processing unit.
  • the imaging device is configured to capture images of the tool within a surgical site of a patient.
  • the processing unit is in communication with the input handle.
  • the processing unit is also operatively associated with the arm to move the tool and is in communication with the imaging arm.
  • the processing unit is configured to scale the input distance of the input handle to an output distance based on the position of the imaging device relative to the surgical site of the patient.
  • the system includes an imaging arm with the imaging device positioned at the end of the imaging arm.
  • the input handle may be moveable within a workspace having a center and a limit of movement.
  • the input distance may be defined by the distance between the center and the limit of movement.
  • the imaging device may be configured to zoom out the captured images as the input handle approaches the limit of movement.
  • the processing unit may be operatively associated with the imaging arm and may be configured to move the imaging device away from the surgical site to zoom out the captured images.
  • the system includes a display that is configured to display the captured images from the imaging device.
  • the processing unit may be configured to scale the input distance to the output distance such that the movement of the tool on the display is substantially equal to the input distance.
  • the system includes a switch that is configured to selectively switch the association of the input handle between the tool and the imaging arm.
  • the switch may be a foot switch or disposed on the input handle.
  • a method of scaling movement of a tool supported on an end of an arm based on the position of an imaging device relative to a surgical site includes determining the position of the imaging device relative to the surgical site with a processing unit and moving an input handle of a robotic surgical system an input distance to move the tool on output distance.
  • the tool is operatively associated to the input handle by the processing unit.
  • the processing unit scales the input distance to the output distance based on the position of the imaging device relative to the surgical site.
  • moving the input handle includes moving the input handle towards a limit of movement of the input handle.
  • the method may include the processing unit moving the imaging device relative to the surgical site as the input handle approaches the limit of movement.
  • the method may include the processing unit varying a scaling factor as the imaging device is moved relative to the surgical site.
  • the processing unit may scale the input distance to the output distance by the scaling factor.
  • a robotic surgical system in another aspect of the present disclosure, includes an arm having an end, a tool supported on the end of the arm, an input handle, and a processing unit.
  • the input handle is moveable an input distance in a first input direction and a second input direction opposite the first input direction.
  • the processing unit is in communication with the input handle and is operatively associated with the arm to move the tool.
  • the processing unit is configured to scale the input distance of the input handle to a first output distance of the tool in response to movement of the input handle in the first input direction and to a second output distance of the tool in response to movement of the input handle in the second input direction, the first output distance being different than the second output distance.
  • the processing unit is configured to scale the input distance of the input handle by a first scaling factor in response to movement of the input handle in the first direction and to scale the input distance of the input handle by a second scaling factor in response to movement of the input handle in the second direction.
  • the second scaling factor may be different than the first scaling factor.
  • the processing unit may be configured to scale the input distance by dividing the input distance by one of the first or second scaling factors.
  • the first scaling factor may be in a range of about 1 to about 10 and the second scaling factor may be in a range of about 1 to about 10.
  • the input handle is moveable within a workspace having a center and a limit of movement.
  • the movement of the input handle in the first direction may be towards the limit of movement and the movement of the input handle in the second direction may be towards the center.
  • the processing unit may be configured to further scale the input distance in response to a location of the input handle between the center and the limit of movement.
  • the processing unit may be configured to linearly or exponentially scale the input distance in response to the location of the input handle between the center and the limit of movement.
  • the processing unit may be configured to increase the first output distance as the location of the input handle is further from the center.
  • the processing unit may be configured to decrease the second output distance as the location of the input handle is further from the center.
  • the input handle is configured to scale the input distance of the input handle by a first scaling factor in response to movement of the input handle in the first direction and to scale the input distance of the input handle by a second scaling factor in response to movement of the input handle in the second direction.
  • the second scaling factor may be different than the first scaling factor.
  • the work space may include a first point between the center and the limit of movement with the first and second scaling factor being constant when the input handle is between the center and the first point.
  • One of the first or second scaling factors may vary when the input handle is between the first point and the limit of movement based on the location of the handle.
  • a robotic surgical system in another aspect of the present disclosure, includes an arm having an end, a tool supported on the end of the arm, and input handle, and a processing unit.
  • the input handle being moveable a first input distance in a first input direction and a second input distance in a second input direction opposite the first input direction, the second input distance being different than the first input distance.
  • the processing unit is in communication with the input handle and operatively associated with the arm to move the tool.
  • the processing unit is configured to move the tool an output distance in a first output direction in response to the first input distance and to move the tool the output distance in a second output direction opposite the first input direction in response to the second input distance.
  • a method of operation a surgical robot includes moving an input handle of a robotic surgical system an input distance in a first input direction to move a tool supported on an end of an arm of the robotic surgical system a first output distance in response to the movement of the input handle in the first input direction and moving the input handle of the robotic surgical system, the input distance, in a second input direction opposite the first input direction to move the tool a second out distance in response to the movement of the input handle in the second input direction, the second output distance being different than the first output distance.
  • moving the input handle of the robotic surgical system in the first input direction includes moving the input handle towards a limit of movement of a workspace.
  • Moving the input handle of the robotic surgical system in the second input direction may include moving the input handle towards a center of a workspace.
  • moving the input handle of the robotic surgical system in the first direction includes transmitting an input signal to a processing unit of the robotic surgical system including a location of the input handle relative to a center of a workspace.
  • the method may include the processing unit controlling the first output distance based on the input distance, the first input direction, and the location of the input handle relative to the center of the workspace.
  • moving the input handle of the robotic surgical system in the second input direction includes transmitting an input signal to a processing unit of the robotic surgical system including a location of the input handle relative to a center of a workspace.
  • the method may include the processing unit controlling the second output distance based on the input distance, the second input direction, and the location of the input handle relative to the center of the workspace.
  • a method, which is not part of the invention, of operating a surgical robot includes moving an input handle of a robotic surgical system a first input distance away from a center of a workspace to move a tool supported on an end of an arm of a surgical robot an output distance in a first output direction and moving the input handle of the robotic surgical system a second input distance towards the center of the workspace to move the tool, the output distance, in a second output direction opposite the first output direction, the second input distance being different than the first input distance.
  • the robotic surgical system includes an arm having an end, a tool supported on the end of the arm, an input handle, and a processing unit.
  • the input handle movable an input distance and including a repositioning control having an activated state and a deactivated state.
  • the processing unit may be in communication with the input handle and operatively associated with the arm to move the tool.
  • the processing unit is configured to scale the input distance of the input handle by a first scaling factor when the repositioning control is in the activated state and to scale the input distance by a second scaling factor when the repositioning control is in the deactivated state.
  • the first scaling factor is larger than the second scaling factor.
  • the first scaling factor is in a range of about 100 to about 1000 and the second scaling factor is in a range of about 1 to about 10.
  • the processing unit may be configured to scale the input distance by dividing the input distance by the first scaling factor when the repositioning control in in the activated state and by dividing the input distance by the second scaling factor when the reposition control is in the deactivated state.
  • a method, which is not part of the invention, of repositioning an input handle of a robotic surgical system includes moving an input handle of a robotic surgical system an input distance with a repositioning control of the input handle in a deactivated state to move a tool supported on an end of an arm of the robotic surgical system a first output distance, and moving the input handle of the robotic surgical system, the input distance, with the repositioning control of the input handle in an activated state to move the tool a second output distance.
  • the input handle being in communication with a processing unit to operatively associate the tool of the robotic surgical system with the input handle.
  • the processing unit scaling the input distance to a first output distance when the input handle is in the deactivated state and scaling the input distance to a second output distance when the input handle is in the activated state.
  • scaling the input distance to the first output distance includes dividing the input distance by a first scaling factor in a range of about 1 to about 10 and scaling the input distance to the second output distance includes dividing the input distance by a second scaling factor in a range of about 100 to about 1000.
  • Moving the input handle the input distance with the repositioning control in the activated state may include an orientation of the input handle operatively associated with an orientation of the tool.
  • the term “clinician” refers to a doctor, a nurse, or any other care provider and may include support personnel.
  • proximal refers to the portion of the device or component thereof that is closest to the clinician and the term “distal” refers to the portion of the device or component thereof that is farthest from the clinician.
  • a robotic surgical system 1 in accordance with the present disclosure is shown generally as a robotic system 10, a processing unit 30, and a user interface 40.
  • the robotic system 10 generally includes linkages 12 and a robot base 18.
  • the linkages 12 moveably support an end effector or tool 20 which is configured to act on tissue.
  • the linkages 12 may be in the form of arms each having an end 14 that supports an end effector or tool 20 which is configured to act on tissue.
  • the ends 14 of the arms 12 may include an imaging device 16 for imaging a surgical site "S".
  • the user interface 40 is in communication with robot base 18 through the processing unit 30.
  • the user interface 40 includes a display device 44 which is configured to display three-dimensional images.
  • the display device 44 displays three-dimensional images of the surgical site "S" which may include data captured by imaging devices 16 positioned on the ends 14 of the arms 12 and/or include data captured by imaging devices that are positioned about the surgical theater (e.g., an imaging device positioned within the surgical site "S", an imaging device positioned adjacent the patient "P", imaging device 56 positioned at a distal end of an imaging arm 52).
  • the imaging devices e.g., imaging devices 16, 56
  • the imaging devices may capture visual images, infra-red images, ultrasound images, X-ray images, thermal images, and/or any other known real-time images of the surgical site "S".
  • the imaging devices transmit captured imaging data to the processing unit 30 which creates three-dimensional images of the surgical site "S” in real-time from the imaging data and transmits the three-dimensional images to the display device 44 for display.
  • the user interface 40 also includes input handles 42 which allow a clinician to manipulate the robotic system 10 (e.g., move the arms 12, the ends 14 of the arms 12, and/or the tools 20).
  • Each of the input handles 42 is in communication with the processing unit 30 to transmit control signals thereto and to receive feedback signals therefrom. Additionally or alternatively, each of the input handles 42 may include control interfaces (not shown) which allow the surgeon to manipulate (e.g., clamp, grasp, fire, open, close, rotate, thrust, slice, etc.) the tools 20 supported at the ends 14 of the arms 12.
  • each of the input handles 42 is moveable through a predefined workspace "W” to move the ends 14 of the arms 12 within a surgical site "S".
  • the workspace "W” is shown in two-dimensions in FIG. 2 that the workspace "W” is a three-dimensional workspace.
  • the three-dimensional images on the display device 44 are orientated such that the movement of the input handle 42 moves the ends 14 of the arms 12 as viewed on the display device 44. It will be appreciated that the orientation of the three-dimensional images on the display device may be mirrored or rotated relative to view from above the patient "P".
  • the size of the three-dimensional images on the display device 44 may be scaled to be larger or smaller than the actual structures of the surgical site permitting the surgeon to have a better view of structures within the surgical site "S".
  • the tools 20 are moved within the surgical site "S” as detailed below.
  • movement of the tools 20 may also include movement of the ends 14 of the arms 12 which support the tools 20.
  • the movement of the tools 20 is scaled relative to the movement of the input handles 42.
  • the input handles 42 send control signals to the processing unit 30.
  • the processing unit 30 analyzes the control signals to move the tools 20 in response to the control signals.
  • the processing unit 30 transmits scaled control signals to the robot base 18 to move the tools 20 in response the movement of the input handles 42.
  • the processing unit 30 scales the control signals by dividing an Input distance (e.g., the distance moved by one of the input handles 42) by a scaling factor S F to arrive at a scaled Output distance (e.g., the distance that one of the ends 14 is moved).
  • the clinician if the clinician reaches the edge or limit of the predefined range of motion of an input handle 42, the clinician must clutch the input handle 42 (i.e., decouple the motion of the input handle 42 from the motion of the tool 20 of the respective arm 12) to reposition the input handle 42 back within the predefined workspace "W" before continuing to move the input handle 42 in the same direction.
  • the clinician may be required to clutch the input handle 42 more frequently, which increases the number of steps and thus, the time and/or costs of the surgical procedure.
  • the orientation (e.g., roll, pitch, and yaw) of the tool 20 is also decoupled from the orientation of the input handle 42.
  • the processing unit 30 may be programmed to align the orientation of the tool 20 with the orientation of the input handle 42, which may result in unintended movement of the tool 20 when the input handle 42 is recoupled.
  • the processing unit 30 may recalibrate the orientation of the input handle 42 when it is recoupled to the current orientation of the processing unit 30, which may result in the orientation of the input handle 42 being misrepresented by the tool 20.
  • each of the input handles 42 may include a repositioning control 43 that sends a signal to the processing unit 30 to switch the scaling factor S F between a procedural scaling factor PS F and a repositioning scaling factor RS F .
  • the procedural scaling factor PS F is in a range of about 1.0 to about 10.0 (e.g., 3.0) and the repositioning scaling factor RS F is significantly larger in a range of about 100.0 to about 1000.0 (e.g., 500.0).
  • the two scaling factors allow a clinician to perform a surgical procedure using the procedural scaling factor PS F and when one of the input handles 42 approaches an edge or a limit of movement of the predefined workspace "W", the clinician activates the repositioning control 43 to change to the repositioning scaling factor RS F to move the input handle 42 to a desired position within the predefined workspace "W” without clutching the input handle 42. Once the input handle 42 is at the desired position within the predefined workspace "W”, the clinician deactivates the repositioning control 43 to switch back to the procedural scaling factor PS F to continue the surgical procedure.
  • repositioning control 43 activating and deactivating the repositioning control 43, to reposition the input handle 42 within the predefined workspace "W", the orientational relationship between the input handle 42 and the end 14 of the arm 12 is maintained. It is contemplated a repositioning control 43 on each input handle 42 is activatable independent of a repositioning control 43 on another input handle 42. While the repositioning control 43 is represented as a button, it is contemplated that the repositioning control 43 may be operated by, but not limited to, a switch, a lever, a trigger, an optical sensor, or a voice command.
  • the processing unit 30 may vary the scaling factor S F based on the direction of movement of the input handle 42 within the predefined workspace "W” to keep the input handle 42 substantially centered within the predefined workspace "W".
  • a method 300 of varying the scaling factor S F based on the direction of movement of the input handle 42 is detailed with respect to the "X" axis; however, it will be appreciated that this method 300 may be applied to each of the "X", “Y", and “Z" axes of the predefined workspace "W".
  • the processing unit 30 assigns a first scaling factor S F1 to the movement of the input handle 42, records the direction of movement represented by arrow "A", and identifies the limit of movement represented by the border of the workspace "W”.
  • the processing unit 30 assigns a second scaling factor S F2 to the movement of the input handle 42 that is larger than the first scaling factor S F1 , and records the direction of movement represented by arrow "B”.
  • first scaling factor S F1 may be about 3.0 and the second scaling factor S F2 may be about 4.5. It is contemplated that first scaling factor S F1 may be about 0.70 to about 1.4 times the size of the second scaling factor S F2 . Varying the scaling factor S F in this manner keeps the input handle 42 substantially centered by requiring the clinician to move the input handle 42 a greater distance when moving the input handle 42 towards the center "C" of the predefined workspace "W” as compared to the distance that the clinician moved the input handle 42 away from the center "C” to move the tool 20 the same distance in each direction.
  • the center “C” of the predefined workspace “W” continually shifts relative to the surgical site “S” ( FIG. 1 ) during the surgical procedure. It is contemplated that the shifting of the center “C” of the predefined workspace “W” relative to the surgical site “S” may be imperceptible to the clinician.
  • the direction of arrow “A” is representative of the direction of movement of the input handle 42 away from the center “C” towards a point “F”; however, when the input handle 42 is moved from the center “C” towards a point "H”, the arrow “B” is representative of movement away from the center "C".
  • the first and second scaling factors S F1 , S F2 are the same in each axes (e.g., the "X”, “Y”, and “Z” axes). In some embodiments, the first and second scaling factor S F1 , S F2 in one axis (e.g., the "X” axis) is different from the first and second scaling factors S F1 , S F2 in the other axes (e.g., the "Y” and “Z” axes).
  • the method may include the processing unit 30 varying the first and second scaling factors S F1 , S F2 based on the location of the input handle 42 within the predefined workspace "W" (Steps 350, 355).
  • the method of varying a scaling factor S F based on the location of the input handle 42 is detailed with respect to the "X" axis; however, it will be appreciated that this method may be applied to each of the "X", “Y", and “Z" axes of the predefined workspace "W”.
  • the scaling factors S F1 , S F2 are implemented by differentiating the movement of the input handle 42 to calculate a handle velocity.
  • This handle velocity is multiplied by the scaling factor (e.g., scaling factors S F1 , S F2 ).
  • This scaled velocity is then integrated with the current position of the tool 20 to determine a new position of the tool 20 such that movement of the tool 20 is smooth.
  • the scaled velocity is continuously integrated such that the movement of the tool 20 is smooth even if the scaling factor is varied (e.g., when the scaling factor is smoothly or discreetly varied as detailed below).
  • the second scaling factor S F2 may increase as the location of the input handle 42 moves away from the center “C” of the predefined workspace "W” (e.g., the second scaling factor S F2 may be larger when the input handle 42 is at point “D” than when the input handle 42 is at center “C”, the second scaling factor S F2 may be larger when the input handle 42 is at point “E” than when the input handle 42 is at point "D”, and the second scaling factor S F2 may be larger when the input handle 42 is at point “F” than when the input handle 42 is at point "E”).
  • the second scaling factor S F2 may vary in a linear manner based on the location of the input handle 42 from the center “C” such that at point “F” the second scaling factor S F2 is about 4.5, at point “E” the second scaling factor S F2 is about 4.0, at point “D” the second scaling factor S F2 is about 3.5, and at center “C” the second scaling factor S F2 is about 3.0.
  • the second scaling factor S F2 may vary as a function of the location of the input handle 42 from the center "C".
  • the second scaling factor S F2 may vary in an exponential manner based on the location of the input handle 42 from the center “C” such that at point “F” the second scaling factor S F2 is about 6.5, at point “E” the second scaling factor S F2 is about 4.5, at point “D” the second scaling factor S F2 is about 3.5, and at the center “C” the second scaling factor S F2 is about 3.0.
  • the second scaling factor S F2 may be constant as the input handle 42 is within a first section S 1 close to the center “C” and linearly or exponentially increase as the location of the input handle 42 is moved away from the center "C" beyond the first section S 1 .
  • the second scaling factor S F2 may increase, in a relatively smooth manner, as the location of the input handle 42 away from the center "C" based on a linear or exponential formula or that the second scaling factor S F2 may change discretely at each of a plurality of points (e.g., points "D", "E", and "F") creating discontinuities in the second scaling factor S F2 .
  • increasing the second scaling factor S F2 requires the clinician to move the input handle 42 a greater distance towards the center “C” when compared to movement of the input handle 42 away from the center “C” to move the tool 20 an equal distance in each direction as the location of the input handle 42 away from the center “C” increases, which shifts the center “C” relative to the surgical site “S” to reduce or eliminate the need to clutch the input handle 42.
  • the first scaling factor S F1 may decrease as the location of the input handle 42 moves away from the center "C" of the predefined workspace "W” (e.g., the first scaling factor S F1 may be smaller when the input handle 42 is at point “D” than when the input handle 42 is at the center “C”, the first scaling factor S F1 may be smaller when the input handle 42 is at point “E” than when the input handle 42 is at point “D”, and the first scaling factor S F1 may be smaller when the input handle 42 is at point "F” than when the input handle 42 is at point “E”).
  • the first scaling factor S F1 may vary in a linear manner based on the location of the input handle 42 from the center “C” such that at the center “C” the first scaling factor S F1 is about 3.0, at point “D” the first scaling factor S F1 is about 2.75, at point “E” the first scaling factor S F1 is about 2.5, and at point “F” the first scaling factor S F1 is about 2.25.
  • the first scaling factor S F1 may vary as a function of the location of the input handle 42 from the center "C".
  • the first scaling factor S F1 may vary in an exponential manner based on the location of the input handle 42 from the center “C” such that at the center “C” the first scaling factor S F1 is about 3.0, at point “D” the first scaling factor S F1 is about 2.75, at point “E” the first scaling factor S F1 is about 2.25, and at point “F” the first scaling factor S F1 is about 1.25.
  • the first scaling factor S F1 may be constant as the input handle 42 is at a location near the center "C" (e.g., when the input handle is between point “D” and a point “G” the first scaling factor S F1 is constant) and linearly or exponentially decreased as the location of the input handle 42 is moved beyond point “D” or point "G".
  • the first scaling factor S F1 may increase, in a relatively smooth manner, as the location of the input handle 42 moves away from the center "C" based on a linear or exponential formula or that the first scaling factor S F1 may change discretely at each of a plurality of points (e.g., points "D", "E", and "F") creating discontinuities in the first scaling factor S F1 .
  • increasing the first scaling factor S F1 allows the clinician to move the input handle 42 a lesser distance away from the center “C” as the location of the input handle 42 away from the center “C” is increased to result in the same movement of the tool 20, which in turn shifts the center “C” relative to the surgical site “S” to reduce or eliminate the need to clutch the input handle 42.
  • each input handle 42 may vary the respective scaling factors S F1 , S F2 in a similar manner or may vary the respective scaling factors S F1 , S F2 in differing manners (e.g., one input handle 42 may vary its scaling factors S F1 , S F2 based on the location of the input handle 42 and another input handle 42 may vary its scaling factors S F1 , S F2 based on the direction of movement of the another input handle relative to the center "C", each input handle 42 may vary its scaling factors S F1 , S F2 using different linear or exponential formulas). It is also contemplated that an input handle 42 may vary one of the scaling factors S F1 , S F2 and the other of the scaling factors S F1 , S F2 may be constant. While points “F” to “J” are shown spaced evenly apart, it is contemplated that points "F” to “J” may be spaced apart different distances from one another. For example, be spaced closer to one another as the points get closer to the limit of movement.
  • the robotic surgical system 1 includes an imaging arm 52 that is controlled by the processing unit 30 and may be selectively controlled by the user interface 40.
  • the imaging arm 52 includes an imaging device 56 disposed on a distal end thereof.
  • the imaging device 56 is located over or within the surgical site "S” and is configured to capture the tools 20 acting within the surgical site "S" of the patient "P” and transmit the captured images to the display 44.
  • the imaging device 56 may be a three-dimensional (3D) camera and the display 44 may be a 3D display enabling the clinician to view the surgical site "S" in three dimensions.
  • the imaging device 56 is moveable relative to or within the surgical site "S” in six degrees of freedom and may be selectively moved by one of the input handles 42.
  • the surgical system 1 may include a foot switch (not shown) that switches one of the input handles 42 between a run mode where the input handle 42 is associated with one of the arms 12 to move the tool 20 within the surgical site "S" and a camera mode where the input handle 42 is associated with the imaging arm 52 to move the imaging device 56 about the surgical site "S". It is also contemplated that one of the input handles 42 may include a camera button (not shown) to operatively associate the input handle 42 with the imaging arm 52.
  • the processing unit 30 may determine the location of the imaging device 56 relative to or within the surgical site “S” to determine the scaling factor S F used to associate the movement of the input handles 42 to the movement of the tools 20 within the surgical site “S". As detailed herein, the processing unit 30 determines the location of the imaging device 56 relative to the surgical site “S” along the "Z” axis to determine the scaling factor S F ; however, the processing unit 30 may determine the scaling factor S F based on the location of the imaging device 56 relative to or within the surgical site "S" in each of the "X", "Y", and "Z" axes.
  • the scaling factor S F when the imaging device 56 is in a first position “L” the scaling factor S F has a first value and when the imaging device 56 is in a second position “M” the scaling factor S F has a second value larger than the first value.
  • the first value may be about “1” when the imaging device 56 is in the first position “L” and as the imaging device 56 is moved closer to the surgical site “S" to the second position "M", the second value may be about "2".
  • a third location "N” may further increase the scaling factor S F to a third value (e.g., about 3).
  • the processing unit 30 may be operatively associated with the imaging arm 52 such that as the scaling factor S F is increased or decreased the processing unit 30 zooms the imaging device 56 in and out from the surgical site "S" to match the movement of the input handles 42 within the predefined workspace "W” to the movement of the tools 20 within the surgical site "S” as viewed by the clinician on the display 44.
  • the zooming in and out of the imaging device 56 may be accomplished by manipulating a lens assembly (not explicitly shown) of the imaging device 56 or by moving the imaging device 56 towards and away from the surgical site "S".
  • the processing unit 30 may zoom the imaging device 56 out when one of the input handles 42 approaches a limit or edge of the predefined workspace "W” to keep the tools 20 within the field of view of the imaging device 56.
  • the processing unit 30 may reposition the imaging device 56 such that the center "C" ( FIG. 2 ) of the input handles 42 are substantially centered on the display device 44.
  • any of the methods of varying the scaling factor S F or moving of the imaging device 56 may be selectively activated or deactivated by a clinician operating the robotic surgical system 1 before or during a surgical procedure.
  • scaling factor S F determined by the processing unit 30 based on the position of the imaging device 56 relative to the surgical site “S” may be varied as detailed above based on the movement of or location of the input handles 42 relative to the center “C" of the predefined workspace "W".

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Robotics (AREA)
  • Medical Informatics (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
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  • Mechanical Engineering (AREA)
  • Manipulator (AREA)
  • User Interface Of Digital Computer (AREA)

Claims (13)

  1. Système chirurgical robotique (1) comprenant :
    une tringlerie (12) supportant de manière mobile un outil chirurgical (20) par rapport à une base (8) ;
    une poignée d'entrée (42) mobile dans une pluralité de directions ; et
    une unité de traitement (30) en communication avec la poignée d'entrée et associée fonctionnellement à la tringlerie pour déplacer l'outil chirurgical sur la base d'un mouvement mis à l'échelle de la poignée d'entrée, la mise à l'échelle variant selon que la poignée d'entrée est déplacée vers un centre (C) d'un espace de travail (W) ou à distance du centre de l'espace de travail, l'espace de travail représentant une plage de mouvement de la poignée d'entrée, dans lequel ladite unité de traitement est configurée pour mettre à l'échelle un premier mouvement de la poignée d'entrée vers le centre de l'espace de travail par un premier facteur de mise à l'échelle (SF1) et mettre à l'échelle un second mouvement de la poignée d'entrée à distance du centre de l'espace de travail par un second facteur de mise à l'échelle (SF2) différent du premier facteur de mise à l'échelle, l'espace de travail comportant une première section (S1) située à une distance prédéterminée du centre de l'espace de travail, et dans lequel les premier et second facteurs de mise à l'échelle sont constants lorsque la poignée d'entrée (42) est dans la première section et au moins l'un des premier ou second facteurs de mise à l'échelle varie lorsque la poignée d'entrée est à l'extérieur de la première section sur la base d'une distance de la poignée d'entrée à partir du centre de l'espace de travail.
  2. Système selon la revendication 1, dans lequel l'unité de traitement (30) est configurée pour mettre à l'échelle la distance d'entrée en divisant une distance du premier mouvement par le premier facteur de mise à l'échelle (SF1) et une distance du second mouvement par le second facteur de mise à l'échelle (SF2).
  3. Système selon la revendication 1 ou la revendication 2, dans lequel les premier et second facteurs de mise à l'échelle sont compris dans une plage de 1,0 à 10,0 et le second facteur de mise à l'échelle est supérieur au premier facteur de mise à l'échelle.
  4. Système selon la revendication 3, dans lequel le premier facteur de mise à l'échelle est entre 0,70 et 1,40 fois supérieur au second facteur de mise à l'échelle.
  5. Système selon la revendication 1, dans lequel l'unité de traitement (30) est configurée pour mettre à l'échelle linéairement la distance d'entrée sur la base d'une distance de la poignée d'entrée à partir d'au moins l'un du centre (C) de l'espace de travail (W) et d'une limite de mouvement de la poignée d'entrée (42), de préférence dans lequel l'unité de traitement est configurée pour mettre à l'échelle exponentiellement la distance d'entrée sur la base d'une distance de la poignée d'entrée à partir d'au moins l'un du centre de l'espace de travail et d'une limite de mouvement de la poignée d'entrée.
  6. Système selon l'une quelconque revendication précédente, dans lequel l'unité de traitement (30) est configurée pour augmenter ou diminuer une taille de mouvement de l'outil chirurgical à mesure que l'emplacement de la poignée d'entrée s'éloigne du centre de l'espace de travail.
  7. Système selon l'une quelconque des revendications précédentes, dans lequel l'actionnement de la tringlerie est réglable pour augmenter ou diminuer un mouvement de l'outil chirurgical à mesure que l'emplacement de la poignée d'entrée s'éloigne du centre de l'espace de travail.
  8. Système selon l'une quelconque des revendications précédentes, dans lequel
    l'au moins une tringlerie comprend un bras (12) ayant une extrémité (14) avec l'outil (20) supporté sur l'extrémité du bras ;
    la poignée d'entrée mobile sur une distance d'entrée et comportant une commande de repositionnement (43) ayant un état activé et un état désactivé ; et dans lequel
    l'unité de traitement (30) est configurée pour mettre à l'échelle la distance d'entrée de la poignée d'entrée par un premier facteur de mise à l'échelle lorsque la commande de repositionnement est dans l'état activé et pour mettre à l'échelle la distance d'entrée par un second facteur de mise à l'échelle lorsque la commande de repositionnement est dans l'état désactivé, le premier facteur de mise à l'échelle étant supérieur au second facteur de mise à l'échelle, de préférence dans lequel l'unité de traitement est configurée pour mettre à l'échelle la distance d'entrée en divisant la distance d'entrée par le premier facteur de mise à l'échelle lorsque la commande de repositionnement est dans l'état activé, et en divisant la distance d'entrée par le second facteur de mise à l'échelle lorsque la commande de repositionnement est dans l'état désactivé.
  9. Système selon la revendication 8, dans lequel le premier facteur de mise à l'échelle est compris dans une plage de 100 à 1 000 et le second facteur de mise à l'échelle est compris dans une plage de 1 à 10.
  10. Système selon la revendication 8 ou la revendication 9 comprenant en outre un dispositif d'imagerie (16) configuré pour capturer des images de l'outil (20) à l'intérieur d'un site chirurgical d'un patient.
  11. Système selon la revendication 10 comprenant en outre un bras d'imagerie, le dispositif d'imagerie étant positionné à l'extrémité du bras d'imagerie, et dans lequel ladite unité de traitement est en communication avec le bras d'imagerie, l'unité de traitement étant configurée pour mettre à l'échelle la distance d'entrée de la poignée d'entrée à une distance de sortie sur la base de la position du dispositif d'imagerie par rapport au site chirurgical du patient.
  12. Système selon la revendication 11, dans lequel le dispositif d'imagerie est configuré pour effectuer un zoom arrière sur les images capturées à mesure que la poignée d'entrée s'approche de la limite ou du bord de l'espace de travail (W) prédéfini, de préférence dans lequel l'unité de traitement est associée fonctionnellement au bras d'imagerie et est configurée pour éloigner le dispositif d'imagerie du site chirurgical afin d'effectuer un zoom arrière sur les images capturées.
  13. Système selon la revendication 10, la revendication 11 ou la revendication 12 comprenant en outre un dispositif d'affichage (44) qui est configuré pour afficher les images capturées à partir du dispositif d'imagerie.
EP16752764.7A 2015-02-19 2016-01-20 Dispositif d'entrée pour système chirurgical robotique Active EP3258874B1 (fr)

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PCT/US2016/014031 WO2016133633A1 (fr) 2015-02-19 2016-01-20 Procédé de repositionnement de dispositif d'entrée pour système chirurgical robotique

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US11925429B2 (en) 2024-03-12
JP2020142104A (ja) 2020-09-10
CN107249498B (zh) 2024-04-23
JP2018505739A (ja) 2018-03-01
US20190374299A1 (en) 2019-12-12
AU2020227038B2 (en) 2021-10-14
EP3258874A1 (fr) 2017-12-27
JP6902139B2 (ja) 2021-07-14
US20180014897A1 (en) 2018-01-18
CA2975907C (fr) 2023-10-10
CA2975907A1 (fr) 2016-08-25
WO2016133633A1 (fr) 2016-08-25
JP6718463B2 (ja) 2020-07-08
CN114052918A (zh) 2022-02-18
AU2020201796A1 (en) 2020-04-02
AU2020201796B2 (en) 2020-09-10
CN107249498A (zh) 2017-10-13
US11331158B2 (en) 2022-05-17
AU2016220501A1 (en) 2017-08-17
AU2020227038A1 (en) 2020-09-17
AU2016220501B2 (en) 2020-02-13
US20220273385A1 (en) 2022-09-01
EP3258874A4 (fr) 2018-11-14
US10695142B2 (en) 2020-06-30

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